Saito H, Nishimura H, Matsui T, Yamamichi I, Tachibana M, Mizukoshi O
Arch Otorhinolaryngol. 1978 Oct 31;221(3):203-10. doi: 10.1007/BF01886296.
Reconstruction of the intraoral defect following cancer surgery often causes formation of fistula, impairment of lingual movement, and prolonged hospitalization by secondary reconstruction. To reduce such complications, the modified cervical island skin flap method as a one-stage intraoral reconstruction was used in 18 patients. Lateral cervical island flap was used in 15 cases and the median flap in three. This method proved to be successful for 17 patients. One patient who received a preoperative full dose of irradiation developed a fistula. There were two types of healing of the skin flap. The postoperative external appearance and function of the tongue were commendable.
癌症手术后口腔内缺损的重建常常会导致瘘管形成、舌运动障碍以及因二次重建而延长住院时间。为减少此类并发症，18例患者采用改良颈岛状皮瓣法进行一期口腔内重建。其中15例采用外侧颈岛状皮瓣，3例采用正中皮瓣。该方法在17例患者中取得成功。1例术前接受全量放疗的患者出现了瘘管。皮瓣有两种愈合类型。术后外观及舌功能良好。
